Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jarrett Michael Leathem, DO

Individual provider Interventional Pain Medicine Physician · NPI 1205193109

Dr. Jarrett Michael Leathem, DO is an Interventional Pain Management in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Advanced Spine and Pain LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone: (480) 573-0130
Fax: (480) 573-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 007328 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 007328 (AZ)

Record details

NPI number1205193109
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Advanced Spine And Pain Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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